Average Medicaid Cardiac Catheterization Payments
Typical Medicaid Cardiac Catheterization reimbursement across 524 cities
Avg. Medicaid Paid
$762.37
Price Range
$0.00 – $3,819
Total Claims
247.4K
Cities
524
Typical Payment Range
Typical Medicaid Cardiac Catheterization payments fall between $114.92 and $632.77 per claim (median: $164.30). The top 10% of payments exceed $1,312.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Cardiac catheterization is a procedure to diagnose and treat cardiovascular conditions. A thin tube is inserted into a blood vessel and guided to the heart.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Hazard, KY | $900.00 | $44.99 – $1,035 | 2,591 | 3 |
| Flint, MI | $786.83 | $138.47 – $1,076 | 2,673 | 4 |
| Los Angeles, CA | $2,146 | $33.62 – $5,063 | 2,773 | 17 |
| Milwaukee, WI | $418.79 | $27.94 – $563.94 | 2,785 | 7 |
| Maysville, KY | $368.42 | $109.56 – $1,523 | 2,831 | 4 |
| Phoenix, AZ | $919.86 | $75.06 – $6,294 | 2,891 | 17 |
| Grand Rapids, MI | $174.65 | $110.93 – $1,543 | 2,923 | 4 |
| Beckley, WV | $520.91 | $122.77 – $1,275 | 3,051 | 7 |
| Manati, PR | $1,053 | $221.81 – $1,363 | 3,152 | 6 |
| Dearborn, MI | $774.31 | $143.03 – $1,450 | 3,488 | 6 |
| Bakersfield, CA | $2,002 | $30.62 – $2,818 | 3,574 | 16 |
| Brooklyn, NY | $1,243 | $80.71 – $1,776 | 3,737 | 13 |
| San Juan, PR | $316.36 | $188.31 – $1,385 | 3,949 | 9 |
| Bowling Green, KY | $567.39 | $126.96 – $655.75 | 3,979 | 6 |
| Charleston, WV | $460.15 | $83.95 – $894.58 | 4,072 | 6 |
| Portsmouth, OH | $291.56 | $114.92 – $1,304 | 4,111 | 4 |
| Hartford, CT | $1,415 | $120.57 – $1,552 | 4,146 | 5 |
| Ashland, KY | $616.86 | $149.95 – $672.30 | 4,434 | 6 |
| Somerset, KY | $675.00 | $100.37 – $901.11 | 4,569 | 5 |
| Detroit, MI | $362.50 | $106.93 – $1,419 | 5,005 | 8 |
| Ponce, PR | $661.90 | $272.02 – $1,318 | 5,020 | 13 |
| Lexington, KY | $854.92 | $107.30 – $1,659 | 5,766 | 13 |
| Louisville, KY | $1,118 | $89.17 – $1,807 | 5,800 | 12 |
| New York, NY | $1,276 | $29.76 – $2,181 | 14,014 | 23 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 93458 | L heart cath w/coronary angio | $740.07 | 239,095 | 1,116 |
| 93454 | Coronary angiography w/o LV | $599.68 | 14,066 | 113 |
| 93451 | Right heart catheterization | $680.57 | 7,808 | 43 |
| 93460 | R&L heart cath w/coronary | $930.75 | 1,017 | 17 |
| 93452 | Left heart catheterization | $787.30 | 323 | 3 |
| 93456 | R heart cath w/coronary angio | $1,388 | 66 | 3 |
| 93459 | L heart cath w/coronary & LV | $33.84 | 28 | 1 |
| 93453 | Right & left heart cath | — | — | — |
| 93455 | Coronary angiography w/LV | — | — | — |
| 93457 | R heart cath w/coronary & LV | — | — | — |
| 93461 | R&L heart cath w/coronary&LV | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.